Parent Education Online Registration and Payment Form

Spring 2019

Please use this form below to register and pay for our Spring 2019 Parent Education Classes.

Classes Offered
PRE-Kinder Class (children 3-5 years old) – TUESDAYS 9:00-11:30am
Kinder Prep (children entering Kindergarten in the Fall of 2019) – TUESDAYS 12:30-2:30PM
Multi-Age Class (children 0 – pre-K)– WEDNESDAYS 9:00-11:30AM
Multi-Age Class (children 0 – pre-K) – THURSDAYS 9:00-11:30AM

These are all parent and child classes that meet for 17 weeks.  Classes begin the week of February 5, 2019 and go through June 6, 2019.  Spring Tuition is $295 per program.

For more information, please contact:  Jo Ann Gantus, Parent Education Instructor BA, MS, USC Education, Teaching Credential, Certified Life Coach  (818) 599 – 5261 OR  parented@bede.org

This Is A Registration For: Parent Ed Spring 2019
Class
Enrollment Infomation
Must be completed for all class enrollments
Name of Adult Being Enrolled
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Address
Primary Phone -- ext
Secondary Phone -- ext
Family E-mail
Names and Birthdates of Child(ren) Participating in the Class
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Registered Parishioner
Previous Parent Education Program Experience
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If you have participated in a parent ed program elsewhere, please name the program and the parish, church or institution.
Relationship to Child(ren) Participating in Class
Special Circumstances
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In Case of Emergency
Name of Person to Be Contacted
Payment Processing
Shopping Basket  
Quantity Extended

Parent and Child Registration | $295.00

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Order Summary
Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type

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